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Arkansas rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.96 / $471.96 / $471.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.74 / $471.96 / $471.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.30 / $679.30 / $679.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.03 / $970.19 / $1,077.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.84 / $636.84 / $636.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.84 / $636.84 / $636.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $679.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $663.38
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.20 / $781.20 / $781.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.76 / $423.62 / $509.47